# SOUTHERN CARE PROVIDERS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215791264
- **Authorized official:** TARA SMITH RN (ADMINISTRATOR)
- **Authorized official phone:** (812) 457-1738

## Contact information

- **Practice address:** 187 HILLMAN ST, WARRENVILLE, SC 29851-3148
- **Practice address phone:** (812) 457-1738
- **Mailing address:** 187 HILLMAN ST, WARRENVILLE, SC 29851-3148

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 02/09/2024
- **Last updated:** 02/09/2024